| Rustam K. De Vitre, Dmd | |
|
392 Commonwealth Ave Boston MA 02215 | |
| (617) 236-5969 | |
| (617) 424-6298 |
| Full Name | Rustam K. De Vitre, Dmd |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 392 Commonwealth Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Rustam K De Vitre (OWNER) |
| Authorized Official Contact | 6172365969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rustam K. De Vitre, Dmd 392 Commonwealth Ave Boston MA 02215 Ph: (617) 236-5969 | Rustam K. De Vitre, Dmd 392 Commonwealth Ave Boston MA 02215 Ph: (617) 236-5969 |
| NPI Number | 1457577884 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457577884 | NPI | - | NPPES |
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